Provider Demographics
NPI:1427055219
Name:LADMAN, MARTEN N (DMD)
Entity type:Individual
Prefix:DR
First Name:MARTEN
Middle Name:N
Last Name:LADMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 COUNTY ROAD 520
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1241
Mailing Address - Country:US
Mailing Address - Phone:732-972-0002
Mailing Address - Fax:732-972-5636
Practice Address - Street 1:87 COUNTY ROAD 520
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1241
Practice Address - Country:US
Practice Address - Phone:732-972-0002
Practice Address - Fax:732-972-5636
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJDI 149391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU24607Medicare UPIN
NJLA112788Medicare ID - Type Unspecified